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Accuracy of methods for diagnosing heart diseases in cats.猫心脏病诊断方法的准确性。
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Point-of-care N-terminal pro B-type natriuretic peptide assay to screen apparently healthy cats for cardiac disease in general practice.在一般实践中,使用即时检测 N 末端 pro B 型利钠肽检测对貌似健康的猫进行心脏疾病筛查。
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本文引用的文献

1
Plasma growth differentiation factors 8 and 11 levels in cats with congestive heart failure secondary to hypertrophic cardiomyopathy.肥厚型心肌病继发充血性心力衰竭猫的血浆生长分化因子8和11水平
J Vet Cardiol. 2019 Oct;25:41-51. doi: 10.1016/j.jvc.2019.08.002. Epub 2019 Sep 1.
2
Evaluation of a sensitive cardiac troponin I assay as a screening test for the diagnosis of hypertrophic cardiomyopathy in cats.评价一种高敏心肌肌钙蛋白 I 检测方法作为猫肥厚型心肌病诊断的筛查试验。
J Vet Intern Med. 2019 May;33(3):1242-1250. doi: 10.1111/jvim.15498. Epub 2019 Apr 16.
3
Holter monitoring demonstrates that ventricular arrhythmias are common in cats with decompensated and compensated hypertrophic cardiomyopathy.动态心电图监测表明,室性心律失常在失代偿和代偿性肥厚型心肌病猫中很常见。
Vet J. 2019 Jan;243:21-25. doi: 10.1016/j.tvjl.2018.11.005. Epub 2018 Nov 12.
4
N-terminal-pro brain natriuretic peptides in dogs and cats: A technical and clinical review.犬猫N端前脑钠尿肽:技术与临床综述
Vet World. 2017 Sep;10(9):1072-1082. doi: 10.14202/vetworld.2017.1072-1082. Epub 2017 Sep 18.
5
Investigation of an N-Terminal Prohormone of Brain Natriuretic Peptide Point-of-Care ELISA in Clinically Normal Cats and Cats With Cardiac Disease.脑钠肽N端前体激素即时检验酶联免疫吸附测定在临床正常猫和患有心脏病的猫中的研究。
J Vet Intern Med. 2017 Jul;31(4):994-999. doi: 10.1111/jvim.14776. Epub 2017 Jun 15.
6
Cardiomyopathy prevalence in 780 apparently healthy cats in rehoming centres (the CatScan study).780只待领养中心的表面健康猫的心肌病患病率(猫扫描研究)
J Vet Cardiol. 2015 Dec;17 Suppl 1:S244-57. doi: 10.1016/j.jvc.2015.03.008.
7
Screening for hypertrophic cardiomyopathy in cats.猫肥厚型心肌病的筛查。
J Vet Cardiol. 2015 Dec;17 Suppl 1:S134-49. doi: 10.1016/j.jvc.2015.07.003.
8
Sequential segmental classification of feline congenital heart disease.猫先天性心脏病的序贯节段分类
J Vet Cardiol. 2015 Dec;17 Suppl 1:S10-52. doi: 10.1016/j.jvc.2015.04.005.
9
Multi-centered investigation of a point-of-care NT-proBNP ELISA assay to detect moderate to severe occult (pre-clinical) feline heart disease in cats referred for cardiac evaluation.一项多中心研究,旨在评估一种即时检测NT-proBNP的酶联免疫吸附测定法,以检测因心脏评估而转诊的猫中中度至重度隐匿性(临床前期)猫心脏病。
J Vet Cardiol. 2014 Dec;16(4):245-55. doi: 10.1016/j.jvc.2014.09.002. Epub 2014 Oct 18.
10
Diagnostic accuracy of the vertebral heart score and other radiographic indices in the detection of cardiac enlargement in cats with different cardiac disorders.椎体心脏评分及其他影像学指标对不同心脏疾病猫心脏扩大的诊断准确性。
J Feline Med Surg. 2014 Oct;16(10):812-25. doi: 10.1177/1098612X14522048. Epub 2014 Feb 11.

猫心脏病诊断方法的准确性。

Accuracy of methods for diagnosing heart diseases in cats.

作者信息

Laudhittirut Tanarut, Rujivipat Natrada, Saringkarisate Kornnicha, Soponpattana Peeraya, Tunwichai Teerawat, Surachetpong Sirilak Disatian

机构信息

Department of Veterinary Medicine, Faculty of Veterinary Science, Chulalongkorn University, Bangkok 10330, Thailand.

出版信息

Vet World. 2020 May;13(5):872-878. doi: 10.14202/vetworld.2020.872-878. Epub 2020 May 9.

DOI:10.14202/vetworld.2020.872-878
PMID:32636581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7311870/
Abstract

AIM

This study aimed to determine the accuracy of the current methods for diagnosing heart diseases in cats.

MATERIALS AND METHODS

The data of 58 cats were retrospectively retrieved. Cats were classified into two groups: Thirty-eight cats with heart diseases and 20 healthy cats. Echocardiography was the gold standard method for diagnosing heart disease. The results of seven methods were retrieved: (1) Vertebral heart score (VHS) with a cutoff value >8, (2) VHS with a cutoff value >8.5, (3) multiplication of cardiac length (L) and width (W), (4) multiplication of cardiac L and W divided by the L of the fourth sternal thoracic bone, (5) N-terminal Pro-B-type natriuretic peptide (NT-proBNP) point-of-care test, (6) subjective ultrasonographic assessment of the left atrial size, and (7) subjective radiographic assessment of the left atrial size. Cross-tabulation was used to calculate the sensitivity, specificity, accuracy, positive predictive value, and negative predictive value for each test. This study found that using the NT-proBNP point-of-care test was optimal in the diagnosis of cats with heart disease.

RESULTS

The subjective ultrasonographic assessment of the left atrial size was good for diagnosing hypertrophic cardiomyopathy and congestive heart failure.

CONCLUSION

This study showed that the more tests used, the higher the reliability of the diagnosis.

摘要

目的

本研究旨在确定当前猫心脏病诊断方法的准确性。

材料与方法

回顾性收集58只猫的数据。猫被分为两组:38只患有心脏病的猫和20只健康猫。超声心动图是诊断心脏病的金标准方法。收集了七种方法的结果:(1)椎体心脏评分(VHS),临界值>8;(2)VHS,临界值>8.5;(3)心脏长度(L)与宽度(W)的乘积;(4)心脏L与W的乘积除以第四胸骨胸椎的L;(5)N末端B型利钠肽原(NT-proBNP)即时检验;(6)主观超声心动图评估左心房大小;(7)主观X线评估左心房大小。采用交叉表计算每项检验的敏感性、特异性、准确性、阳性预测值和阴性预测值。本研究发现,使用NT-proBNP即时检验对猫心脏病的诊断最为理想。

结果

主观超声心动图评估左心房大小对肥厚型心肌病和充血性心力衰竭的诊断效果良好。

结论

本研究表明,使用的检验方法越多,诊断的可靠性越高。